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Contact Information

ANGELO F. PETROLLA DPM
3507 CANFIELD RD
SUITE 7
YOUNGSTOWN, OH44511-2859
 Phone: 330-793-0566
 Fax: 330-793-5767
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Podiatrist

213E00000X 48 Podiatry
Indicates primary specialty

NPI Profile & details for ANGELO F. PETROLLA DPM

NPI # 1154591675
LBN Legal business name ANGELO F. PETROLLA DPM
Authorized official JOANNE SCHULICK - (OFFICE MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 03/12/2008
Last updated 11/28/2012 - About 14 years ago
Identifiers
OH License # 36.001767
OH Medicaid 0333697
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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